Tuano, Salma M.

BSN4-1 FATIGUE
ASSESMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
(Short-Term) (Long-Term)
Subjective: Fatigue related to After 8 hours After 1 week of INDEPENDENT:
“Hinang-hina na altered body of nursing nursing intervention -Establish rapport to -To gain the PARTIALLY
ako, wala ng lakas chemistry: side intervention the patient can the patient and significant others and MET
katawan ko” as effects of pain and the patient will perform basic ADL significant others. patient’s trust &
verbalized by the other medications, report (Activities of Daily   cooperation during
patient. chemotherapy improved Living) and the Nursing care &
secondary to sense of participate in desired procedures.
Objective: Breast Cancer energy activities at level of
ability -Assist patient in -To maintain position
 Weight loss comfortable position of function and
 Body and turn her every 2 reduce discomfort
malaise hours as prescribed and sore bed
 Lethargic
 Capillary -Provide safety -To prevent injury
Refill – precautions by and fall
2seconds raising up the bed
V/S of side rails.
 T- 36.5
 PR- 72 -Have patient rate -Helps in developing
fatigue, using a plan for managing
 RR- 21
numeric scale, if fatigue
 BP- 110/80
possible, and the
time of day when it is
most severe.

-Plan care to allow -Frequent rest

for rest periods. periods and naps are
Schedule activities needed to restore
for periods when and conserve
patient has most energy. Planning will
Tuano, Salma M. BSN4-1 FATIGUE
energy. allow patient to be
active during times
when energy level is
higher, which may
restore a feeling of
well-being and a
sense of control.

-Monitor Vital Signs -Poorly managed

(changes in BP, heart cancer pain can
and respiratory rate) contribute to fatigue.
and perform pain
assessment and
provide pain
management.

-Provide -Presence
supplemental oxygen of anemia and
as indicated. hypoxemia reduces
O2available for
cellular uptake and
contributes to
fatigue.
DEPENDENT

-Administer -To manage adverse

medication as effect chemotherapy
prescribed by the
doctor